Bundle his recording at Texas Health Presbyterian Hospital Flower Mound
4400 Long Prairie Road, Flower Mound, TX · Texashealth · · NPI 1902047376
$5,400.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$9,000.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1,355.40 with United Healthcare vs $43,501.28 with Blue Cross Blue Shield — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare | Managed Medicaid | $1,355.40 | ↓ -75% |
| Cook Childrens | Managed Medicaid | $1,355.40 | ↓ -75% |
| Amerigroup | Managed Medicaid | $1,355.40 | ↓ -75% |
| Blue Cross Blue Shield | Managed Medicaid | $1,355.40 | ↓ -75% |
| Superior Wellcare | Managed Medicaid | $1,422.90 | ↓ -74% |
| Molina | Managed Medicaid | $1,463.40 | ↓ -73% |
| Aetna | Managed Medicaid | $1,491.30 | ↓ -72% |
| Fort Worth Firefighters | Commercial | $2,319.00 | ↓ -57% |
| United Healthcare | All Payer | $2,923.00 | ↓ -46% |
| Aetna | Whole Health | $3,712.50 | ↓ -31% |
| United Healthcare Options | PPO | $3,751.00 | ↓ -31% |
| City of Fort Worth | Commercial | $4,230.00 | ↓ -22% |
| Aetna | Commercial | $4,950.00 | ↓ -8% |
| Cigna | OAP/HMO | $4,975.20 | ↓ -8% |
| Quick Trip | Commercial | $5,400.00 | ↑ +0% |
| PHCS | PPO | $6,255.00 | ↑ +16% |
| Cigna | PPO | $6,273.00 | ↑ +16% |
| Aetna | Coventry | $6,309.00 | ↑ +17% |
| Aetna | ASA | $6,309.00 | ↑ +17% |
| Healthsmart | Commercial | $6,750.00 | ↑ +25% |
| Blue Cross Blue Shield | Exchange | $6,768.57 | ↑ +25% |
| Multiplan | Commercial | $7,830.00 | ↑ +45% |
| Blue Cross Blue Shield | Medicare Advantage | $7,835.21 | ↑ +45% |
| American Health | Medicare Advantage | $7,835.21 | ↑ +45% |
| Galaxy | Commercial | $7,920.00 | ↑ +47% |
| USA | MCO | $7,920.00 | ↑ +47% |
| HealthSpring | Medicare Advantage | $7,991.91 | ↑ +48% |
| Humana | Medicare Advantage | $8,148.61 | ↑ +51% |
| Amerigroup | Medicare Advantage | $8,226.97 | ↑ +52% |
| Molina | Medicare Advantage | $8,226.97 | ↑ +52% |
| Superior Wellcare | Medicare Advantage HMO | $8,226.97 | ↑ +52% |
| Cigna | Indemnity | $8,469.00 | ↑ +57% |
| Superior Wellcare | Medicare Advantage MMP | $8,618.73 | ↑ +60% |
| United Healthcare | Medicare Advantage PPO | $8,697.08 | ↑ +61% |
| United Healthcare | Medicare Advantage HMO | $8,853.78 | ↑ +64% |
| Blue Cross Blue Shield | HMO | $13,831.42 | ↑ +156% |
| Blue Cross Blue Shield | PPO | $15,367.59 | ↑ +185% |
| Blue Cross Blue Shield | Traditional | $43,501.28 | ↑ +706% |
Visitor-reported prices
Comments
Bundle his recording at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,557.78 | $1,574.70 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,958.33 | $814.76 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,251.46 | $850.29 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,557.78 | $1,482.08 – $18,500.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,958.33 | $1,270.62 – $18,500.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,958.33 | $2,045.14 – $18,500.61 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,251.46 | $1,417.15 – $18,500.61 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $5,557.78 | $1,482.08 – $18,500.61 |